Gloretha S Wilcots, NURSE PRACTITIONER is a
Nurse Practitioner based in Pueblo Of San Felipe, New Mexico. Gloretha S Wilcots is licensed to practice in New Mexico (license number 03135) and her current practice location is
711 Main Pueblo Road, Pueblo Of San Felipe, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(505) 771-0976.
NPI number for Gloretha S Wilcots is 1992993323 and her current mailing address is P.o. Box 4339, Pueblo Of San Felipe, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1992993323.
Provider's Profile
Full Name | Gloretha S Wilcots |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 711 Main Pueblo Road, Pueblo Of San Felipe, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1992993323
- Provider Enumeration Date: 10/10/2007
- Last Update Date: 12/28/2021
Medical Identifiers
Medical identifiers for Gloretha S Wilcots such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992993323 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 03135 (New Mexico) | Secondary |
363L00000X | Nurse Practitioner | 03135 (New Mexico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gloretha S Wilcots is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Gloretha S Wilcots, NURSE PRACTITIONER P.o. Box 4339, Pueblo Of San Felipe, NM 87001 Ph: (505) 771-0976 | Gloretha S Wilcots, NURSE PRACTITIONER 711 Main Pueblo Road, Pueblo Of San Felipe, NM 87001 Ph: (505) 771-0976 |
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